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General NPI Number Information
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NPI Number | 1558436543
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Entity Type | Organization
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Legal Business Name | CINCINNATI RELATIONSHIP CENTER INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8315 MONTGOMERY ROAD
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City | CINCINNATI
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State | OH
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Zip | 45236-2227
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Country | US
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Telephone | 513-794-9144
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Fax | 513-794-1083
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Provider Business Mailing Address
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Address Line | 8315 MONTGOMERY ROAD
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City | CINCINNATI
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State | OH
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Zip | 45236-2227
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Country | US
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Telephone | 513-794-9144
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Fax | 513-794-1083
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. JUSTIN THOMAS DEVOGE
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Credential | PHD
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Telephone | 513-794-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 832
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License Number State | OH
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